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Splenic Infarction Diagnosed by Photoscanning

St. Elizabeth's Hospital and Tufts University School of Medicine, Boston, Massachusetts

Correspondence: For reprints contact: Lewis E. Braverman, St. Elizabeth Hospital, 736 Cambridge St., Brighton, Mass. 02135.

ABSTRACT

A 47-year-old male with the diagnosis of subacute bacterial endocarditis developed sudden left upper quadrant pain while on treatment with antibiotics. Using ^99mTc-sulfur colloid, a spleen and liver scan revealed an area of decreased uptake in the spleen which resolved 5 months later. These findings were consistent with the diagnosis of a splenic infarct. Photoscanning of the liver and spleen is a simple and available technique which should be used when lesions of the spleen are suspected.